- Molina Healthcare (Rochester, NY)
- **Job Description** **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality ... initiatives to improve Star Ratings. * Serves as the Medicare Stars subject matter expert to Program Managers and in functional areas; leads programs to meet… more
- CVS Health (Albany, NY)
- …in new and exciting ways every day. Aetna is recruiting for an AVP, General Manager who has Medicare market specific P&L accountability for the IVL/DSNP products ... Medicare plans within the Market. + Direction of senior leaders of specific functional areas as assigned. Functional...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- Humana (Albany, NY)
- …are looking for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager , Medicare Sales, motivates and drives a team of ... motivate and train a team of sales individuals. The Senior Manager , Medicare Sales, must...+ This role is part of Humana's Driver safety program and therefore requires an individual to have a… more
- Project Renewal, Inc. (New York, NY)
- Title: Senior Manager , Compliance Program : Legal, Varick Headquarters Salary Range: $90,000 - $100,000 per year Overall Responsibilities: The Senior ... regulatory compliance in healthcare and related human services. The Senior Manager , Compliance reports to the Director...Medicare , Part 2). + Ensure the organization's compliance program meets FQHC and Article 28 standards. + Policy… more
- Danaher Corporation (New York, NY)
- …Business System (https://www.danaher.com/how-we-work/danaher-business-system) which makes everything possible. The Senior Field Reimbursement Manager (US REMOTE) ... customer engagement and responding to customer inquiries. This position reports to the Senior Director Market Access Americas and is part of the Value and Access… more
- CVS Health (Albany, NY)
- …with provider engagement, relations, or account management. + Working knowledge of Medicare contracts. + An understanding of value based contracts, how they work, ... for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed...includes an award target in the company's equity award program . Our people fuel our future. Our teams reflect… more
- Access: Supports For Living (Middletown, NY)
- …$26.44 per hour Hours: Monday-Friday 8:00AM-4:30PM (40hrs) Job Description: Reporting to the A/R Manager , the Senior Billing Specialist is a key position in the ... Senior Billing Specialist Location: Middletown, NY, United StatesDate...of weekly claims processing + Analyze, billing and processing program claims for accuracy and completeness; submit claims to… more
- CVS Health (Albany, NY)
- …hours. No nights, no weekends and no holidays. **Position Summary** The Senior Clinical Strategist works with assigned Aetna Medicare Provider Collaboration ... and quality but will also focus on improvements in utilization and cost. The Senior Clinical Strategist works to drive clinical performance of assigned Medicare … more
- Humana (Albany, NY)
- …part of our caring community and help us put health first** The Senior Application Architect designs and develops IT applications architecture solutions to business ... alignment with the enterprise architecture direction and standards. The Senior Application Architect work assignments involve moderately complex to...* Annual Incentive Plan * 401K - * Well-being program * Paid Volunteer Time Off * Student Loan… more
- New York State Civil Service (Brooklyn, NY)
- …for hire under the Hiring for Emergency Limited Placement - Statewide (NY HELPS) program as an Intensive Case Manager if they have:* Bachelor's degree in ... NY HELP Yes Agency Mental Health, Office of Title Intensive Case Manager (NY HELPS), New York City Children's Center, Brooklyn Campus, P27380 Occupational Category… more
- Sunrise Senior Living (Hicksville, NY)
- **When you join Sunrise Senior Living, you will be able to use your unique skills to empower residents to live longer, healthier, and happier lives. Not only will ... meaningful ways to serve, grow, and shine together.** **Sunrise Senior Living was again certified as a Great Place...New York **Job ID** 2025-234538 **JOB OVERVIEW** The Clinical Manager is responsible for the oversight of client care… more
- Nuvance Health (Rhinebeck, NY)
- …* Surgical Review Corporation (SRC) - Robotic Center of Excellence * Center for Medicare and Medicaid Services (CMS) - 5 Star Rating At Northern Dutchess Hospital, ... of our patients and each other's success. *Summary*: The Manager of Patient Experience performs a wide variety of...a variety of sources to assist with analysis and program development for a successful program . Responsible… more
- Blue Matter (New York, NY)
- …planning also spans diverse care settings with distinct market access dynamics. As a Manager with Blue Matter, you will join a startup firm with a dynamic and ... to help grow and build the company. You will work collaboratively with senior internal and client team members to address critical business issues in biotechnology… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …colleagues to produce/recommend/develop long-term plans. * Serves as Vendor Relationship Manager for appropriate health plan vendors. Provides support and expertise ... etc., in delivering solutions. * Ensures bid submissions for NYS Exchange and Medicare PBP participation are executed annually for the Health Plan to participate… more
- CenterWell (Albany, NY)
- …part of our caring community and help us put health first** The Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical ... records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Program … more
- CenterWell (Albany, NY)
- …teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to ... includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age). + Current and ongoing Board… more
- CenterWell (Albany, NY)
- …in utilization management within Insurance industry a plus + Previous Medicare Advantage/ Medicare **Alert** Humana value's personal identity protection. Please ... eligible dependents + Parental and caregiver leave + Employee charity matching program + Network Resource Groups (NRGs) + Career development opportunities Travel:… more
- Deloitte (New York, NY)
- Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk & Forensic team helps client leaders translate multifaceted risk and ... on Feb 28, 2026 Work you'll do As a Senior Consultant in our Regulatory, Risk, & Forensic Healthcare...meetings to explain CDI benchmarks, KPIs and demonstrate overall program accomplishments and challenges through analytics and dashboards +… more
- Albany Medical Center (Albany, NY)
- …related departments. The Director builds external relationships with payers' senior network management, leads meeting, oversees and/or prepares presentations, and ... concisely consolidates and presents such opportunities to key stakeholders and senior organizational leadership to influence and support AMHS's continued evolution… more
- Novo Nordisk (Elmira, NY)
- …current co-promotion partners. Internally, the CMCS I reports to the District Business Manager of the specific sales territory. The CMCS I also interacts and ... impact + Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage… more